Test Bank For Psychiatric Mental Health Nursing 9th Edition
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,Chapter 1 j
1. The nurse is assessing the factors contributing to the well-
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being of a newly admitted client. Which of the following
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would the nurse identify as having a positive impact onthe
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individual's mental health?
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A) Not needing others for companionship j j j j
B) The ability to effectively manage stress j j j j j
C) A family history of mental illness j j j j j
D) Striving for total self-reliance j j j
Ans: B
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Individual factors influencing mental health include j j j j j
biologic makeup, autonomy, independence, self-esteem,
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capacity for growth, vitality, ability to find meaning in life,
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emotional resilience or hardiness, sense of belonging, reality
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orientation, and coping or stress management abilities.
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Interpersonal factors such as intimacy and a balance of
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separateness and connectedness are both needed
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for good mental health, and therefore ahealthy person would need others for
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companionship. A family history of mental illnesscould relate to the biologic makeup of
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an individual, which may have a negative impacton an individual's mental health, aswell
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as a negative impact on an individual's interpersonal and socialñcultural factors ofhealth.
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Total self-reliance is not possible, and a positive social/cultural factor is access to
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adequate resources.
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2. Which of the following statements about mental illness are true? Select all that apply.
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A) Mental illness can cause significant distress, impaired functioning, or both. j j j j j j j j j
B) Mental illness is only due to social/cultural factors. j j j j j j j
C) Social/cultural factors that relate to mental illness include excessive dependency j j j j j j j j j
on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively with j j j j j j j j j j j
daily life. j j
E) Individuals suffering from mental illness may experience dissatisfaction with j j j j j j j j
relationships and self. j j j
Ans: A, D, E j j j
Feedback:
Mental illness can cause significant distress, impaired functioning, or both. Mental
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illness may be related to individual, interpersonal, or social/cultural factors. Excessive
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dependency on or withdrawal from relationships are interpersonal factors that relate to
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mental illness. Individuals suffering from mental illness can feel overwhelmed with
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daily life. Individuals suffering from mental illness may experience dissatisfaction with
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relationships and self.
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,3. Which of the following are true regarding mental health and mental illness?
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A) Behavior that may be viewed as acceptable in one culture is always unacceptablein j j j j j j j j j j j j j
other cultures. j j
B) It is easy to determine if a person is mentally healthy or mentally ill.
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C) In most cases, mental health is a state of emotional, psychological, and social
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wellness evidenced by satisfying interpersonal relationships, effective behavior
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and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ill. j j j j j j j
Ans: C
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What one society may view as acceptable and appropriate behavior, another society may
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see that as maladaptive, and inappropriate. Mental health and mental illness are difficultto
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define precisely. In most cases, mental health is a state of emotional, psychological, and
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social wellness evidenced by satisfying interpersonal relationships, effective behavior
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and coping, positive self-concept, and emotional stability. Persons who engagein
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fantasies may be mentally healthy, but the inability to distinguish reality from fantasyis an
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individual factor that may contribute to mental illness.
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4. A client grieving the recent loss of her husband asks if she is becoming mentally ill
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because she is so sad. The nurse's best response would be,
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A) ìYou may have a temporary mental illness because you are experiencing so much
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pain.î j
B) ìYou are not mentally ill. This is an expected reaction to the loss you have
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experienced.î j
C) ìWere you generally dissatisfied with your relationship before your husband's
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death?î j
D) ìTry not to worry about that right now. You never know what the future brings.î
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Ans: B
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Mental illness includes general dissatisfaction with self, ineffective relationships,
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ineffective coping, and lack of personal growth. Additionally the behavior must not be
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culturally expected. Acute grief reactions are expected and therefore not considered
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mental illness. False reassurance or overanalysis does not accurately address the client's
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concerns.
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, 5. The nurse consults the DSM for which of the following purposes?
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A) To devise a plan of care for a newly admitted client
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B) To predict the client's prognosis of treatment outcomes
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C) To document the appropriate diagnostic code in the client's medical record
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D) To serve as a guide for client assessment
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Ans: D j
Feedback:
The DSM provides standard nomenclature, presents defining characteristics, and
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identifies underlying causes of mental disorders. It does not provide care plans or
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prognostic outcomes of treatment. Diagnosis of mental illness is not within the generalist
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RN's scope of practice, so documenting the code in the medical record wouldbe
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inappropriate.
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6. Which would be a reason for a student nurse to use the DSM?
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A) Identifying the medical diagnosis j j j
B) Treat clients j
C) Evaluate treatments j
D) Understand the reason for the admission and the nature of psychiatric illnesses.
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Ans: D j
Feedback:
Although student nurses do not use the DSM to diagnose clients, they will find it a
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helpful resource to understand the reason for the admission and to begin building
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knowledge about the nature of psychiatric illnesses. Identifying the medical diagnosis,
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treating, and evaluating treatments are not a part of the nursing process.
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7. The legislation enacted in 1963 was largely responsible for which of the following shiftsin
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care for the mentally ill?
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A) The widespread use of community-based services j j j j j
B) The advancement in pharmacotherapies j j j
C) Increased access to hospitalization j j j
D) Improved rights for clients in long-term institutional care j j j j j j j
Ans: A
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The Community Mental Health Centers Construction Act of 1963 accomplished the
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release of individuals from long-term stays in state institutions, the decrease in
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admissions to hospitals, and the development of community-based services as an
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alternative to hospital care.
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